Shane Michael Hagen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

69429 Issued in TN

Practice address

3601 The Vanderbilt Clinic
Nashville, TN 37232-2127

Phone

(615) 322-3000

NPI assigned

May 13, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR, MS, TN, OH4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Diagnostic Radiology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology IncGroup PAC ID 1658274543, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Mount Carmel St Ann's Hospital, Westerville, OH, CCN 360012
• Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375
• Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266
• Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shagen4443059@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiology Inc

  • Diagnostic Radiology Physician
  • Dublin, OH
  • NPI 1609865708
  Medicare reassignment Care Compare group NPD
• Mid-South Imaging & Therapeutics, P.a.

  • Diagnostic Radiology Physician
  • Germantown, TN
  • NPI 1043260763

  AR, MS

  Medicare reassignment
• Radiology Physicians of New Albany PLLC

  • Diagnostic Radiology Physician
  • New Albany, MS
  • NPI 1861822587
  NPD
• Tuhc Radiology Group LLC

  • Diagnostic Radiology Physician
  • Metairie, LA
  • NPI 1710029673
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Diley Ridge Medical Center

  • General Acute Care Hospital
  • Canal Winchester, OH
  • NPI 1225361181
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Westerville, OH
  • NPI 1417037045
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  dba Mount Carmel Dublin

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • New Albany, OH
  • NPI 1770668568
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1538725742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322127",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381042127",
            "country_code": "US",
            "telephone_number": "901-523-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "SHANE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "69429",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shagen811342@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean Hagedorn, DO
• Kevin Hageman, D.O.
• Emma Hagemier, RN
• Alyssa Hagen, CRNA
• Kyle S Hagen, RPH, PHARMD
• Curtis J Hagenau, M.D.
• Melanie Painter Hager, MD, PHD
• Scott Haggadone
• Deborah Haggard, APRN
• Lucy Wall Haggard, APN

• Diagnostic Radiology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.